Individual
CORWIN A JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-8770
(701) 234-8950
Mailing address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-8770
(701) 234-8950
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71080
—
ND
Enumeration date
07/17/2006
Last updated
04/15/2016
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